CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: East Liverpool City Hospital

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 322
  • Insurance Median: $14,383
  • Cash Discount Price: $14,382
  • vs. Medicare Baseline: 1.12x Medicare
The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at East Liverpool City Hospital is $14,383. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $14,382. Compared to the federal Medicare reimbursement reference rate of $12,807.1, this hospital’s rate is 1.12x the Medicare baseline. Located in 425 West 5Th Street, East Liverpool, OH.
Cash / Self-Pay
$14,382

Average discount available for prompt cash payment at this facility.

Insurance Median
$14,383

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$12,807.1

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $12,807.1 (100%)
Cash / Self-Pay: $14,382 (112%)
Insurance Median: $14,383 (112%)
Cash: $14,382 (112% of Medicare)
Ins. Median: $14,383 (112% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $12,807.1 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
UnitedHealthcare $12,697 - $21,334 99%
Blue Cross Blue Shield $12,956 101%
Buckeye Community Health Plan $12,956 - $23,012 101%
Medical Mutual Of Oh $12,956 101%
Molina $12,956 - $20,855 101%
Ubh $12,956 101%
Care Source $13,345 - $20,855 104%
Health America $13,345 104%
Communicare $13,863 108%
Perennial $14,252 111%
Medicaid / KanCare $14,362 112%
Medicare (plans) $14,383 112%
Devoted Health $15,102 118%
Valor Health Plan $15,389 120%
Three Rivers $16,895 132%
Provider Select $17,243 135%
Naphcare $17,259 135%
Multiplan (Fka Private Healthcare Systems) $17,417 136%
Worker Compensation $17,417 136%
Employer Direct Healthcare $18,697 146%
National Healthcare Solutions (Nhsi) $23,012 180%
Tricare $23,968 187%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 425 West 5Th Street, East Liverpool, OH 43920
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals